Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,699.63 / $9,639.00 / $20,509.00	Facility		$1,699.63	$9,639.00	$20,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,640.00 / $8,323.29 / $17,015.00	Facility		$3,640.00	$8,323.29	$17,015.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,121.74 / $1,414.60 / $2,121.90	Professional		$1,121.74	$1,414.60	$2,121.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,471.20 / $1,901.16 / $3,497.06	Professional		$1,471.20	$1,901.16	$3,497.06
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $500.00 / $500.00 / $500.00	Professional	80	$500.00	$500.00	$500.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,573.44 / $16,739.82	Facility		$55.00	$13,573.44	$16,739.82
Lucent Health Facility/Professional Facility Modifier AS Low / Median / High Price $315.83 / $735.86 / $754.73	Facility	AS	$315.83	$735.86	$754.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,618.72 / $2,176.79 / $2,960.76	Facility		$1,618.72	$2,176.79	$2,960.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,159.00 / $20,279.00	Facility		$2,047.00	$5,159.00	$20,279.00